Kettering NPS Questions And Answers 100 All Verified Solution 2024 Which of the following should the neonatal pediatric specialist recommend for an 8 year old child with cerebral atrophy and poor cognitive skills in order to promote bronchial hygiene while delivering a bronchodilator a intermittent positive pressure breathing b intrapulmonary percussive ventilation c external chest wall percussive device d in exsufflator ANSWER b intrapulmonary percussive ventilation A 9 year old boy was diagnosed with congenital muscular dystrophy at age 3 after having frequent falls difficulty getting up from a sitting position and walking on his toes He also has learning disabilities and difficulty with psychomotor coordination After an episode of influenza he has an ineffective cough and is retaining secretions Which of the following should the neonatal pediatric specialist recommend to assist with airway clearance a Cool aerosol b PEP device c In exsufflator d IPPB therapy ANSWER c in exsufflator A 9 year old child aspirates while eating gummy bears with her twin sister She was laying on her left side at the time of aspiration The child is in no apparent distress The neonatal pediatric specialist quickly suctions the child What should the specialist do next a Sit the patient up and perform the Heimlich maneuver b Order a chest x ray c Perform back blows Kettering NPS Questions And Answers 100 All Verified Solution 2024 d Roll the patient to the right side for postural drainage ANSWER d roll the patient to the right side for postural drainage A 15 year old patient with asthma presents to the ED in moderate distress After several hours of treatment no clinical improvement has occurred The physician has ordered heliox therapy Which of the following should the neonatal pediatric specialist select for delivery of this therapy a Nasal cannula b High flow cannula c Non rebreather mask d Air entrainment mask ANSWER c non rebreather mask A neonatal pediatric specialist is called to the ED to administer a bronchodilator to a 7 year old child with asthma The child is on oxygen via nasal cannula at 2L min Pulse oximetry reveals a saturation of 84 The specialst finds the end of the oxygen tubing under the chair of the mother at the bedside The specialist reattaches the tubing and notes that the SpO2 is now 93 The specialist should a Maintain the current oxygen flow b Change the device to a non rebreather mask c Increase the oxygen flow d Contact the ED physician ANSWER a maintain the current oxygen flow Which of the following could cause a loss of pressure during delivery of nasal CPAP to a neonate 1 Baby is crying 2 Insufficient flow 3 Obstruction 4 misplaced nasal prongs a 1 and 2 only Kettering NPS Questions And Answers 100 All Verified Solution 2024 b 3 and 4 only c 1 2 and 4 only d 1 2 3 and 4 ANSWER c 1 2 and 4 only A 7 year old child was rescued from a burning building and brought to the ED for treatment Upon arrival the child was placed on oxygen via a non rebreather mask The neonatal pediatric specialist notes that when the child inhales the reservoir bag remains completely inflated The specialist should a Monitor the patient with pulse oximetry b Adjust the seal on the face mask c Increase the oxygen flow d Change the patient to an air entrainment mask ANSWER b adjust the seal on the face mask A 14 year old patient is receiving volume control ventilation with a hygroscopic condenser humidifier following multiple trauma Twelve hours after initiation of mechanical ventilation the neonatal pediatric specialist notes an increase in the viscosity of the patient s secretions The specialist should a Administer a short acting bronchodilator b Suction the patient frequently c Change to a heated wick humidifier d Administer a mucolytic ANSWER c change to a heated wick humidifier A 3 year old child arrives at the ED with a cough and increasing shortness of breath The neonatal pediatric specialist notes bilateral expiratory Kettering NPS Questions And Answers 100 All Verified Solution 2024 wheezes and moderate intercostal and subcostal retractions Which of the following should the specialist utilize to deliver a short acting beta agonist to the patient a Small volume nebulizer b Ultrasonic nebulizer c Small particle aerosol generator d Metered dose inhaler ANSWER a small volume nebulizer A 3 year old child with a respiratory rate of 34 minute and oxygen saturation of 87 is on 50 oxygen via a simple mask Which of the following should the neonatal pediatric specialist recommend a Maintain current therapy b 40 air entrainment mask c Oxygen hood with 50 oxygen d High flow nasal cannula ANSWER d high flow nasal cannula A neonatal pediatric specialist is using a galvanic fuel cell to analyze the FiO2 for a neonate in an oxyhood The specialist is unable to calibrate the oxygen analyzer The most appropriate action would be to a Replace the battery b Change the fuel cell c Check the electrolyte level d Obtain a mass spectrometer ANSWER b change the fuel cell A 10 year old boy is to perform hyperinflation with an incentive spirometer following abdominal surgery Preoperative spirometry documented a vital capacity of 2400 mL and an inspiratory capacity of 1400mL The Kettering NPS Questions And Answers 100 All Verified Solution 2024 neonatal pediatric specialist should set the initial volume goal on the incentive spirometer at a 700 mL b 1200 mL c 1400 mL d 2400 mL ANSWER a 700 mL A 3 year old with asthma receives albuterol via MDI with a spacer for episodes of wheezing and coughing Her mother reports that the symptoms seem to persist for a while following administration of the medication To improve the efficacy of this medication the neonatal pediatric specialist should recommend a Removing the spacer b Switching to a small volume nebulizer c Holding the spacer 1 2 inches in front of the child s lips d Incorporating a mask with the MDI and spacer ANSWER d incorporating a mask with the MDI and spacer The neonatal pediatric specialist collects a sputum sample for culture and sensitivity from a 14 year old child with pneumonia labels the sample and sends it to the laboratory Several hours later the specialist checks the medical record and notes that upon microscopic examination the medical technologist reports that there were 20 squamous cells seen in the sample in the low power field The specialist should a Collect an additional sputum sample b Wait for further evaluation of the sample c Ask the medical technologist